Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.
Original text from hospital filings
Influenza Vac Type A&B Surface Ant Adj Susp Pref Syr 0.5 ML
Wheaton, MN
See all hospitals reporting CPT 90653 →Price type
Sanford Wheaton’s median price of $133 is 35% above the median hospital's median price ($99), higher than 66% of the 1,591 hospitals reporting CPT 90653. The highlighted bar is where this hospital falls; shaded is the middle 50% of hospitals.
Negotiated rates from the hospital’s own file: 8 payers, 26 plan rates. A facility fee, a professional fee, a per diem and a case rate are different bills, so each is listed on its own. Open a payer to see it across hospitals.
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| # | |||||||
|---|---|---|---|---|---|---|---|
| 1 | Bcbs Mn pmap percent of total billed charges · outpatientfrom % of charges | $37 | $37 | — | — | — | $37 – $37 |
| 2 | Sanford Health Plan medicare replacement percent of total billed charges · outpatientfrom % of charges | $77 | $77 | — | — | — | $77 – $77 |
| 3 | Ucare medicare replacement percent of total billed charges · outpatientfrom % of charges | $83 | $83 | — | — | — | $83 – $83 |
| 4 | Aetna medicare replacement percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 5 | Bcbs Mn medicare replacement percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 6 | UnitedHealthcare medicare replacement percent of total billed charges · outpatientfrom % of charges | $84 | $84 | — | — | — | $84 – $84 |
| 7 | Bcbs Nd commercial percent of total billed charges · outpatientfrom % of charges | $106 | $106 | — | — | — | $106 – $106 |
| 8 | Sanford Health Plan group health/true percent of total billed charges · inpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 9 | Sanford Health Plan group health/true percent of total billed charges · outpatientfrom % of charges | $121 | $121 | — | — | — | $121 – $121 |
| 10 | UnitedHealthcare commercial + top 20 percent of total billed charges · inpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 11 | UnitedHealthcare commercial + top 20 percent of total billed charges · outpatientfrom % of charges | $128 | $128 | — | — | — | $128 – $128 |
| 12 | Aetna commercial percent of total billed charges · inpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 13 | Aetna commercial percent of total billed charges · outpatientfrom % of charges | $133 | $133 | — | — | — | $133 – $133 |
| 14 | Ucare commercial percent of total billed charges · inpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 15 | Ucare commercial percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 16 | Medica choice percent of total billed charges · outpatientfrom % of charges | $135 | $135 | — | — | — | $135 – $135 |
| 17 | Medica choice percent of total billed charges · inpatientfrom % of charges | $136 | $136 | — | — | — | $136 – $136 |
| 18 | MultiPlan commercial percent of total billed charges · inpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 19 | MultiPlan commercial percent of total billed charges · outpatientfrom % of charges | $138 | $138 | — | — | — | $138 – $138 |
| 20 | Bcbs Mn commercial/federal percent of total billed charges · outpatientfrom % of charges | $142 | $142 | — | — | — | $142 – $142 |
| 21 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 22 | Sanford Health Plan commercial/nd pers/sd exchange commercial percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 23 | Sanford Health Plan sd exchange true percent of total billed charges · inpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 24 | Sanford Health Plan sd exchange true percent of total billed charges · outpatientfrom % of charges | $143 | $143 | — | — | — | $143 – $143 |
| 25 | Medica elect percent of total billed charges · outpatientfrom % of charges | $144 | $144 | — | — | — | $144 – $144 |
Last updated: Mar 4, 2026
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